SUDHA REDDY MUTHEKEPALLI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

SUDHA

Middle

REDDY

Last Name

MUTHEKEPALLI

Business Name

SUDHA REDDY MUTHEKEPALLI

Original Issue Date

08/16/2002

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023